FORM 1023-EZ for URBAN CITY MISSION A NJ NON FOR PROFIT CORPORATION

Field Data
EIN 46-2005550
Case Number EO-2014289-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URBAN CITY MISSION A NJ NON FOR PROFIT CORPORATION
Organization’s Mailing Address 61 5TH STREET
City FORDS
State NJ
ZIP 08863
Accounting period End 12
Primary contact name RUBEN RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RUBEN RODRIGUEZ
CHAIRMAN
61 5TH STREET
FORDS NJ 08863

Officer/Director/Trustee Two

PRIMITIVO TORRES
TREASURER
110 CAP LANE
MIDDLESEX NJ 08846

Officer/Director/Trustee Three

LEONIDAS ESTEVEZ
SECRETARY
1729 NORMAN STREET
RIDGEWOOD NY 11385

Officer/Director/Trustee Four

ANTHONY SANCHEZ
SECRETARY
1300 GATES AVENUE 3D
BROOKLYN NY 11221

Organization’s website WWW.URBANCITYMISSION.ORG
Organization’s email INFO@URBANCITYMISSION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2013
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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